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Inspection Summary

Overall summary & rating


Updated 1 January 2019

About the service: Medacs Healthcare is registered as a domiciliary care agency providing the regulated activity 'personal care' to the people who live in their own homes. The service was providing personal care to 201 people aged 65 and over at the time of the inspection.

People’s experience of using this service: The management of medicines had improved which ensured they were administered as prescribed and staff had guidance to do this safely. Risks to people were assessed and records contained clear guidance for staff to follow. Staff knew how to respond to possible harm and how to reduce risks to people.

The provider had embedded quality assurance systems to monitor the quality and safety of the care provided. People and relatives were asked for their views and their suggestions were used to improve the service.

People were safe and protected from avoidable harm as staff knew how to recognise and respond to concerns of ill-treatment and abuse. Lessons were learnt about accidents and incidents and these were shared with staff members to ensure changes were made to staff practice or the environment, to reduce the risk of further occurrences.

The provider followed effective infection prevention and control guidance when supporting people in their own homes. The equipment that people used was maintained and kept in safe working order and the provider undertook safety checks with people at their home addresses.

There were enough skilled and experienced staff to meet the needs of people who used the service. Recruitment checks were completed on new staff to ensure they were suitable to support people who used the service. A comprehensive induction and training programme was completed by all staff.

A detailed needs assessment was carried out to assess people's needs and preferences prior to them receiving a service. People's personal and health care needs were met and detailed care records guided staff in how to do this. Where staff noted a concern they quickly involved healthcare professionals.

Where required, people were supported to have sufficient to eat and drink and their health needs were regularly monitored. Staff followed the advice health care professionals gave them. Staff had guidance if they needed to provide people with end of life care.

Staff showed a genuine motivation to deliver care in a person centred way based on people's preferences and likes. People were observed to have good relationships with staff.

People told us they felt well cared for by staff who treated them with respect and dignity. People told us they were listened to and were involved in their care and what they did on a day to day basis. People's right to privacy was maintained by the actions and care given by staff members.

Staff understood their responsibilities in relation to the Mental Capacity Act 2005. People told us they were involved in making every day decisions and choices about how they wanted to live their lives.

A complaints system was in place and there was information so people knew who to speak with if they had concerns.

More information is in the full report below.

Rating at last inspection: Requires Improvement (published 1 January 2018)

Why we inspected: This was a planned inspection based on the previous rating of requires improvement. The overall rating has improved to good.

Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our re-inspection schedule for those services rated Good. If any concerning information is received we may inspect sooner.

Inspection areas



Updated 1 January 2019

The service was safe.

Details are in our Safe findings below.



Updated 1 January 2019

The service was effective.

Details are in our Effective findings below.



Updated 1 January 2019

The service was caring.

Details are in our Caring findings below.



Updated 1 January 2019

The service was responsive.

Details are in our Responsive findings below.



Updated 1 January 2019

The service was well-led.

Details are in our Well-Led findings below.